Family And Restorative Dental Associates | |
2213 Middle St Sullivans Island SC 29482-8780 | |
(843) 883-9529 | |
Not Available |
Full Name | Family And Restorative Dental Associates |
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Speciality | Clinic/center - Dental |
Location | 2213 Middle St, Sullivans Island, South Carolina |
Authorized Official Name and Position | James Thomas Kandl (PRESIDENT) |
Authorized Official Contact | 8438839529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family And Restorative Dental Associates 2213 Middle St Sullivans Island SC 29482-8780 Ph: (843) 883-9529 | Family And Restorative Dental Associates 2213 Middle St Sullivans Island SC 29482-8780 Ph: (843) 883-9529 |
NPI Number | 1710175914 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 10/12/2007 |
Identifier | Type | State | Issuer |
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1710175914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 3579 (South Carolina) | Primary |